KROGER LIMITED PARTNERSHIP I
Community/Retail Pharmacy · SOUTHAVEN, MS
Organization Active NPI 1386678167
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 383 | 1,090 | $75,209 | $73,409 | $73,409 |
| 2023 | 395 | 1,100 | $70,459 | $67,390 | $67,390 |
| 2022 | 612 | 1,654 | $61,012 | $58,103 | $58,103 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 324 | $12 | $12 |
| 90662 | Influenza vaccine split virus, preservative free | 316 | $82 | $82 |
| 90480 | Admn sarscov2 vacc 1 dose | 191 | $30 | $30 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 168 | $146 | $146 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 30 | $292 | $292 |
| G0009 | Administration of pneumococcal vaccine | 30 | $17 | $17 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 22 | $158 | $158 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 6159 | MS |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — | |
| Pharmacy | 333600000X | — | — |
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See all Community/Retail Pharmacy providers in Mississippi →
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.